Active NPI
Catherine Ha, DMD
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1467948034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.031671
- Practice address
- 3057 W Cermak Rd
Chicago, IL 60623-3548 - Phone
- (773) 257-0200
- Fax
- (773) 257-0227
- NPI assigned
- Jul 7, 2018
- Last updated
- Jul 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.031671 | IL | Primary |
Addresses
Primary practice location
3057 W Cermak Rd
Chicago, IL 60623-3548
Mailing address
3215 N Elston Ave Apt 3N
Chicago, IL 60618-5850
Phone (847) 902-7249
Other practice location 1
2254 S Cicero Ave
Cicero, IL 60804-2411
Phone (708) 656-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.031671 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Experts, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1346411337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530921600000",
"number": "1467948034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 N ELSTON AVE APT 3N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606185850",
"telephone_number": "847-902-7249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3057 W CERMAK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233548",
"telephone_number": "773-257-0200",
"fax_number": "773-257-0227"
}
],
"practiceLocations": [
{
"address_1": "2254 S Cicero Ave",
"address_purpose": "LOCATION",
"city": "Cicero",
"state": "IL",
"postal_code": "608042411",
"country_code": "US",
"telephone_number": "708-656-2222",
"fax_number": "708-477-6729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HA",
"first_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-07",
"last_updated": "2018-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.031671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.